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Long-term Debt (Tables)

12 Months Ended

Dec. 31, 2021

Debt Disclosure [Abstract]

Schedule of Outstanding Long-term Debt

Our long-term debt outstanding consists of the following (in millions):

			As of December 31,
			2021						2020
Credit Agreement—
Advances under revolving credit facility			$	200.0					$	—
Term loan facilities			238.5						251.6
Bonds payable—
5.125% Senior Notes due 2023			99.6						298.1
5.75% Senior Notes due 2025			347.0						346.3
4.50% Senior Notes due 2028			786.8						785.0
4.75% Senior Notes due 2030			784.7						783.2
4.625% Senior Notes due 2031			393.7						393.2
Other notes payable			49.6						39.8
Finance lease obligations			386.8						391.7
			3,286.7						3,288.9
Less: Current portion			(42.8)						(38.3)
Long-term debt, net of current portion			$	3,243.9					$	3,250.6

Our notes payable consist of the following (in millions):

			As of December 31,
			2021						2020						Interest Rates
Sale/leaseback transactions involving real estate accounted for as financings			$	28.0					$	28.0					6.1% to 11.2%
Construction of a new hospital			11.0						11.8						5.0%
Software contracts			10.6						—						2.8%
Other notes payable			$	49.6					$	39.8

Schedule of Debt Maturities

The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):

Year Ending December 31,						Face Amount						Net Amount
2022						$	42.8					$	42.8
2023						143.6						143.2
2024						453.8						452.7
2025						384.8						381.8
2026						29.9						29.9
Thereafter						2,271.1						2,236.3
Total						$	3,326.0					$	3,286.7

Schedule of Financial Covenants

Fiscal Quarters Ending			Interest Coverage Ratio
December 31, 2019 and March 31, 2020			3.00 to 1.00
June 30, 2020, September 30, 2020, December 31, 2020, March 31, 2021, June 30, 2021, September 30, 2021 and December 31, 2021			2.00 to 1.00
March 31, 2022 and thereafter			3.00 to 1.00

Fiscal Quarters Ending			Leverage Ratio
December 31, 2019 and March 31, 2020			4.50 to 1.00
June 30, 2020			4.75 to 1.00
September 30, 2020			5.50 to 1.00
December 31, 2020			6.50 to 1.00
March 31, 2021			6.50 to 1.00
June 30, 2021			6.00 to 1.00
September 30, 2021			5.50 to 1.00
December 31, 2021			5.00 to 1.00
March 31, 2022 and thereafter			4.25 to 1.00

Schedule of Redemption Prices for Senior Notes

We may redeem the 2025 Notes, in whole or in part, at any time on or after September 15, 2021, at the redemption prices set forth below:

Period						Redemption Price*
2021						101.917		%
2022						100.958		%
2023 and thereafter						100.000		%

* Expressed in percentage of principal amount

We may redeem the 2028 Notes, in whole or in part, at any time on or after February 1, 2023 at the redemption prices set forth below:

Period						Redemption Price*
2023						102.250		%
2024						101.125		%
2025 and thereafter						100.000		%

* Expressed in percentage of principal amount

We may redeem the 2030 Notes, in whole or in part, at any time on or after February 1, 2025 at the redemption prices set forth below:

Period						Redemption Price*
2025						102.375		%
2026						101.583		%
2027						100.792		%
2028 and thereafter						100.000		%

* Expressed in percentage of principal amount

We may redeem the 2031 Notes, in whole or in part, at any time on or after April 1, 2026 at the redemption prices set forth below:

Period						Redemption Price*
2026						102.313		%
2027						101.542		%
2028						100.771		%
2029 and thereafter						100.000		%

* Expressed in percentage of principal amount

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